Individual provider Active NPI

Jordan Elyse Cupelli-Knight, MS, CAADC, LPC

  • Professional Counselor
  • Lebanon, PA
National Provider Identifier
1548447444
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005947 Issued in PA
Practice address
701 Cumberland St Ste 211
Lebanon, PA 17042-5231
Phone
(717) 514-2804
NPI assigned
Jan 23, 2008
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005947 PA Primary

Addresses

Primary practice location

701 Cumberland St Ste 211
Lebanon, PA 17042-5231

Mailing address

120 Tiverton CT
Lebanon, PA 17042-4160
Phone (717) 514-2804

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jordan@thehealingvoice.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC005947PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Voice, LLC Professional CurrentSince Mar 9, 2020 Accepting new patients
Advanced Counseling and Testing Solutions, LLC Mental Health Past Accepting new patients

Locations

701 Cumberland St
Ste 211
Lebanon, PA 17042
Phone (717) 450-7221

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1548447444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TIVERTON CT",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170424160",
            "telephone_number": "717-514-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CUMBERLAND ST STE 211",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425231",
            "telephone_number": "717-514-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPELLI-KNIGHT",
        "first_name": "JORDAN",
        "middle_name": "ELYSE",
        "name_prefix": "Mrs.",
        "credential": "MS, CAADC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jordan@thehealingvoice.net",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "701 Cumberland St Ste 211",
            "city": "Lebanon",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170425231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.